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Insurance Licensing Ok-Life-Accident-and-Health-or-Sickness-Producer Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Health Insurance Fundamentals20-25%- Health maintenance organizations (HMOs)
- Major medical insurance
- Dental and vision coverage
- Preferred provider organizations (PPOs)
- Disability income insurance
Topic 2: Life Insurance Basics15-20%- Beneficiary designations
- Policy provisions and riders
- Types of life insurance policies
- Cash value and loan provisions
Topic 3: Ethics and Professional Conduct10-15%- Fiduciary responsibilities
- Disclosure requirements
- Antifraud regulations
- Handling customer complaints
Topic 4: Accident and Sickness Insurance15-20%- Critical illness insurance
- Accident-only policies
- Sickness-related coverage
- Hospital indemnity insurance
Topic 5: Oklahoma Insurance Regulations20-25%- Oklahoma Insurance Code requirements
- Unfair trade practices prohibitions
- Consumer protection regulations
- Market conduct regulations
- Licensing requirements and procedures
Topic 6: Insurance Marketing and Sales10-15%- Sales practices and disclosures
- Replacement regulations
- Suitable product recommendations
- Recordkeeping requirements

Insurance Licensing Oklahoma Life, Accident, and Health or Sickness Producer Sample Questions:

How are benefits treated for tax purposes if an individual is receiving disability insurance benefits from a group policy paid for by his employer?

  • A. They are taxable income.
  • B. They are only subject to Social Security and FUTA taxes.
  • C. They are not taxable.
  • D. They can be deducted from gross income.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

An insured individual who just turned 67 years old is still working and is a member of the group health insurance plan provided by his employer, which has 18 insured employees. In this case, Medicare will MOST likely

  • A. act as a secondary insurer and pay claims not completely covered by the group health insurance.
  • B. not cover any claims to protect against overinsurance.
  • C. act as the primary insurer and pay claims up to the limit of the policy.
  • D. require the individual to cancel his group insurance.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

A group major medical policy is written with a $1,000 deductible, 80/20 coinsurance, and an out-of-pocket maximum of $3,000. The insured goes into the hospital for a covered procedure. The total cost of the procedure is $5,000. How much does the insured have to pay towards the $5,000 total?

  • A. $1,000
  • B. $5,000
  • C. $1,800
  • D. $3,000
Reveal Solution  Discussion  0

Correct Answer: D  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

An agent's underwriting duties include which of the following?

  • A. Issuing the policy.
  • B. Setting premium amounts.
  • C. Completing all applications and collecting initial premiums.
  • D. Declining or accepting an application.
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Correct Answer: C  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

Health benefit plans providing maternity coverage shall provide postpartum home care if childbirth occurs at home within?

  • A. 48 hours by vaginal delivery.
  • B. 24 hours by vaginal delivery.
  • C. 72 hours by vaginal delivery.
  • D. 96 hours by vaginal delivery.
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

Explanation: Only visible for ExamsLabs members. You can sign-up / login (it's free).

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